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1639220734
SHARON ELIZABETH OTIS
BRADENTON, FL
NPI
1639220734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH-1682)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
DR. SHARON ELIZABETH OTIS ED.D, PH.D., L.M.H.C
5910 CORTEZ RD W STE 160
BRADENTON, FL 34210-2706
Phone number: 941-792-4988
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Mailing Address
DR. SHARON ELIZABETH OTIS ED.D, PH.D., L.M.H.C
3812 ROYAL PALM DR
BRADENTON, FL 34210-1305
Phone number: 941-792-4988
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